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COMPLETE THIS SECTION ON DELIVERY <br /> SENDER: <br /> A. S' 0 Agent <br /> ■ Complete items 1,2,and 3.Also complete 0 Addressee <br /> item 4 if Restricted Delivery is desired. X <br /> ■ Print your name and address on the reverse printed Name) C. Date of Delivery <br /> so that we can return the card to you. B. Received by <br /> ■ Attach this card to the back of the mailpiece, ❑Yes <br /> or on the front if space permits. D. Is delivery address different from item 1 <br /> If YES,enter delivery address below: 0 No <br /> 1. rticle Addressed to: <br /> w <br /> 3. Service Type <br /> Certified Mail 0 Express Mail <br /> C7 Registered ❑Return Receipt for Merchandise <br /> 0 Insured Mail 0 C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2.. Article Number 7p07 0220 0000 1989 7718 <br /> (Transfer from service label) Domestic Return Receipt 102595-02-M-1540 + <br /> PS Form 3811,February 2004 <br /> postal <br /> CERTIFIED MAIL,,, RECEIPT <br /> co (Domestic Mail Only;NO Insurance Coverage . . <br /> r <br /> r wa-,W-M FICIAL USE <br /> Er <br /> CIO <br /> a- Postage s 5. 10 <br /> 2. 00 certified Fee �Q,�.gA a <br /> Retum Recelpt Fee Here S <br /> 0 30 <br /> � <br /> E301dorsement Required) W <br /> Restricted Delivery Fee <br /> v JAN 0 4 2011 w <br /> C3 (Endorsement Required) <br /> ru $ �p OZ <br /> ru Total Postage&Fees <br /> E3 <br /> Sent T <br /> �----------------------- <br /> n�f �'..4��cw _\7� <br />